Lean Healthcare Transformation Summit Starts Today; Past Videos of Dr. John Toussaint


Today's the first day of the two-day Lean Healthcare Transformation Summit, an annual event that's being held this year near Miami. If you're at the Summit, please find me to say hello.

You can follow the event on Twitter using hashtag #HCSummit16. I'll be tweeting and I'll probably share some highlights next week.

In the meantime, here is video of Dr. John Toussaint's keynote address from the 2015 Summit… still very relevant today.

Summit Keynote presentation, John Toussaint, MD., 2015 from ThedaCare Center for Healthcare on Vimeo.

Screen Shot 2016-06-09 at 10.24.48 AMJohn also more recently presented at an event in the UK hosted by the King's Fund (which is sort of like the Commonwealth Fund in the U.S.)

You can view his slides (PDF) and edited video of his talk:

Here's the JAMA article that John cites… the ThedaCare ACO (Accountable Care Organization) is the top performing ACO in terms of cost and quality. View a PDF of the article.

Screen Shot 2016-06-09 at 10.16.42 AM

From the article:

“By the end of year 1, Bellin ThedaCare was the best-performing Pioneer ACO on per-capita cost and scored high (CMS has not released detailed quality rankings) on a composite of 33 Medicare ACO quality measures, including 3 (access to specialists, shared decision making, and hemoglobin A1c control) in which theACO achieved the highest score out of all the shared savings programs.”

What are some key principles for Lean?

Screen Shot 2016-06-09 at 10.19.43 AM

Humility (as I've blogged about… I point this out humbly), respect (see my post), and continuous learning.

I think John is right, when he says:

“The hardest thing is to build the culture of trust.”

When trust is lacking or non-existent, we end up with situations like this (or this) where MDs are very unhappy with Lean (or they're unhappy with something that's not really Lean). What can executives do to build trust and better relationships with MDs and others in the organization?

Here's some edited video of John (just under 8 minutes):

John Toussaint: The executive guide to system transformation from The King's Fund on Vimeo.

I love that John uses Dr. Deming's phrase “constancy of purpose.” That's a meaningful phrase to me… and that's why I named my own company “Constancy, Inc.”

I hope you're able to attend the 2017 Summit… if not, I hope these videos allow you to create your own mini-Summit and your own discussions in your team or organization. I'd love to hear about questions or discussions that are generated… feel free to leave a comment below.


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Mark Graban is an internationally-recognized consultant, author, and professional speaker who has worked in healthcare, manufacturing, and startups. His latest book is Measures of Success: React Less, Lead Better, Improve More. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. He also published the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also a Senior Advisor to the technology company KaiNexus.

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